NICHOLAS ROY RUSSO

WEST ALLIS, WI
NPI1134255672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  2838)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Dr. NICHOLAS ROY RUSSO D.D.S.
6754 W BELOIT RD
WEST ALLIS, WI 53219-2068
Phone number: 414-327-1210
Mailing Address
Dr. NICHOLAS ROY RUSSO D.D.S.
6754 W BELOIT RD
WEST ALLIS, WI 53219-2068
Phone number: 414-327-1210
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